Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN FOURTON (VICE PRESIDENT)
(972) 860-8649
Entity
Organization
Contact information
Practice address
4501 SWISS AVE, DALLAS, TX 75204-7119
(214) 820-8700
(214) 820-8707
Mailing address
4501 SWISS AVE, DALLAS, TX 75204-7119
(214) 820-8700
(214) 820-8707
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
09/17/2019
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